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Social Media and Adolescent Health. 社交媒体与青少年健康
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-01 Epub Date: 2024-07-25 DOI: 10.2105/AJPH.2024.307784
Jon-Patrick Allem
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引用次数: 0
Unequal Spatial Consequences of Abortion Restrictions in Texas, 2021-2023. 2021-2023 年得克萨斯州堕胎限制的不平等空间后果。
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-01 Epub Date: 2024-05-23 DOI: 10.2105/AJPH.2024.307652
Sydney R Sauter, Maeve E Wallace, Julie H Hernandez

Objectives. To demonstrate the spatially uneven effects of abortion restriction laws in Texas. Methods. We used network analysis to determine the change in distance to the nearest surgical abortion provider for 5253 Texas neighborhoods after the passing of Texas Senate Bill 8 (SB8; 2021) and the US Supreme Court's Dobbs v Jackson Women's Health Organization (2022) decision. We identified associations between key measures of neighborhood socioeconomic context and change in distance to providers using multivariable linear regression models. Results. After the Dobbs decision, Texas residents experienced an average change in distance to the nearest provider of 457 miles (SD = 179). Neighborhoods of concentrated disadvantage experienced the greatest increase in distance to abortion providers after SB8's passing, and neighborhoods with high levels of income inequality experienced the greatest increase in distance after the Dobbs decision. Conclusions. We document the rapidly changing abortion landscape in a highly restrictive state and show that women living in more disadvantaged and unequal areas are most affected by the increasing distance to providers. Public Health Implications. Our methods and findings will continue to be relevant in understanding the burden placed on women in areas where medical abortion has been restricted because of the Dobbs decision. (Am J Public Health. 2024;114(10):1024-1033. https://doi.org/10.2105/AJPH.2024.307652).

目标。展示德克萨斯州堕胎限制法律在空间上的不均衡影响。方法。我们利用网络分析法确定了德克萨斯州参议院第 8 号法案(SB8;2021 年)和美国最高法院对多布斯诉杰克逊妇女健康组织案(2022 年)判决通过后,德克萨斯州 5253 个社区与最近的手术堕胎提供者的距离变化。我们使用多变量线性回归模型确定了邻里社会经济环境的主要衡量指标与医疗机构距离变化之间的关联。结果。多布斯案判决后,得克萨斯州居民到最近医疗机构的距离平均变化了 457 英里(SD = 179)。在 SB8 法案通过后,贫困人口集中的社区与堕胎医疗机构的距离增加最多,而在多布斯法案通过后,收入不平等程度高的社区与堕胎医疗机构的距离增加最多。结论。我们记录了这个限制性极强的州迅速变化的堕胎环境,并表明生活在较为贫困和不平等地区的妇女受距离堕胎服务提供者的距离增加的影响最大。对公共卫生的影响。我们的方法和研究结果对于了解因多布斯裁决而限制医疗堕胎的地区的妇女所承受的负担将继续具有现实意义。(Am J Public Health.https://doi.org/10.2105/AJPH.2024.307652).
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引用次数: 0
Mortality Surveillance for the COVID-19 Pandemic: Review of the Centers for Disease Control and Prevention's Multiple System Strategy. COVID-19 大流行的死亡率监测:审查疾病控制和预防中心的多重系统战略。
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-01 Epub Date: 2024-07-25 DOI: 10.2105/AJPH.2024.307743
Diba Khan, Meeyoung Park, Peter Grillo, Lauren Rossen, B Casey Lyons, Sarah David, Matthew D Ritchey, Farida B Ahmad, A D McNaghten, Adi V Gundlapalli, Amitabh B Suthar

Mortality surveillance systems can have limitations, including reporting delays, incomplete reporting, missing data, and insufficient detail on important risk or sociodemographic factors that can impact the accuracy of estimates of current trends, disease severity, and related disparities across subpopulations. The Centers for Disease Control and Prevention used multiple data systems during the COVID-19 emergency response-line-level case‒death surveillance, aggregate death surveillance, and the National Vital Statistics System-to collectively provide more comprehensive and timely information on COVID-19‒associated mortality necessary for informed decisions. This article will review in detail the line-level, aggregate, and National Vital Statistics System surveillance systems and the purpose and use of each. This retrospective review of the hybrid surveillance systems strategy may serve as an example for adaptive informational approaches needed over the course of future public health emergencies. (Am J Public Health. 2024;114(10):1071-1080. https://doi.org/10.2105/AJPH.2024.307743).

死亡率监测系统可能存在一些局限性,包括报告延迟、报告不完整、数据缺失以及重要风险或社会人口因素的细节不足,这些都会影响对当前趋势、疾病严重程度以及亚人群间相关差异的估计的准确性。在 COVID-19 应急响应期间,美国疾病控制和预防中心使用了多个数据系统,包括线级病例-死亡监测、总体死亡监测和国家生命统计系统,从而共同提供了更全面、更及时的 COVID-19 相关死亡率信息,以便做出明智的决策。本文将详细回顾线级监测系统、综合监测系统和国家生命统计系统,以及每个系统的目的和用途。对混合监测系统策略的回顾可作为未来公共卫生突发事件过程中所需的适应性信息方法的范例。(Am J Public Health.https://doi.org/10.2105/AJPH.2024.307743 )。
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引用次数: 0
New Insights on Trends in Overdose Deaths by Intent and Drug Involvement From Improved Public Health Monitoring. 从改进的公共卫生监测中获得按意图和药物参与度分列的用药过量死亡趋势的新见解。
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-01 Epub Date: 2024-08-08 DOI: 10.2105/AJPH.2024.307811
Amy S B Bohnert, Srijan Sen
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引用次数: 0
The Burden of Injuries Associated With E-Bikes, Powered Scooters, Hoverboards, and Bicycles in the United States: 2019‒2022. 美国与电动自行车、电动滑板车、悬浮滑板和自行车相关的伤害负担:2019-2022.
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-12 DOI: 10.2105/ajph.2024.307820
Kathryn G Burford,Nicole G Itzkowitz,Andrew G Rundle,Charles DiMaggio,Stephen J Mooney
Objectives. To describe the national burden of injuries associated with e-bikes, bicycles, hoverboards, and powered scooters (micromobility devices) in the United States. Methods. We compared patterns and trends for 1 933 296 estimated injuries associated with micromobility devices from 2019 to 2022 using National Electronic Injury Surveillance System data. Results. The population-based rates of e-bike and powered scooter injuries increased by 293.0% and 88.0%, respectively. When reported, powered scooter injuries had the highest proportion for alcohol use (9.0%) compared with other modes, whereas e-bike injuries had the highest proportion for motor vehicle involvement (35.4%). Internal injuries were more likely among e-bike diagnoses than hoverboard and bicycle (P < .05), but fractures and concussions were more likely among hoverboard diagnoses compared with all other devices (P < .05). When helmet use was identified in clinical notes (20.3%), helmet usage was higher among e-bike injuries (43.8%) compared with powered scooter (34.8%) and hoverboard (30.3%) injuries but lower compared with bicycle injuries (48.7%). Conclusions. The incidence of severe e-bike and powered scooter injuries increased over the 4-year period. Public health stakeholders should focus on improved surveillance and prevention of injuries associated with electric micromobility devices. (Am J Public Health. Published online ahead of print September 12, 2024:e1-e10. https://doi.org/10.2105/AJPH.2024.307820).
目的描述美国全国与电动自行车、自行车、悬浮滑板和电动滑板车(微型移动设备)相关的伤害负担。方法。我们使用国家电子伤害监测系统数据,比较了 2019 年至 2022 年期间与微型移动设备相关的 1 933 296 起估计伤害的模式和趋势。结果。基于人口的电动自行车和电动滑板车伤害率分别增加了 293.0% 和 88.0%。与其他交通工具相比,电动滑板车因饮酒而受伤的比例最高(9.0%),而电动自行车因涉及机动车而受伤的比例最高(35.4%)。与悬浮滑板和自行车相比,电动自行车更容易造成内伤(P < .05),但与所有其他设备相比,悬浮滑板更容易造成骨折和脑震荡(P < .05)。在临床记录(20.3%)中确定使用头盔的情况下,与电动滑板车(34.8%)和悬浮滑板(30.3%)相比,电动自行车伤害(43.8%)中使用头盔的比例较高,但与自行车伤害(48.7%)相比,使用头盔的比例较低。结论电动自行车和电动滑板车严重受伤的发生率在四年期间有所上升。公共卫生利益相关者应重点加强对电动微型移动设备相关伤害的监测和预防。(Am J Public Health.https://doi.org/10.2105/AJPH.2024.307820 )。
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引用次数: 0
Has Public Health Become Illiberal? 公共卫生变得不自由了吗?
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-12 DOI: 10.2105/ajph.2024.307831
Jonathan M. Samet
American Journal of Public Health, Ahead of Print.
美国公共卫生杂志》,印刷版前。
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引用次数: 0
The Making of the 1964 Surgeon General’s Report on Smoking and Health 1964 年《卫生总监关于吸烟与健康的报告》的编制过程
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-12 DOI: 10.2105/ajph.2024.307825
Robert N. Proctor
American Journal of Public Health, Ahead of Print.
美国公共卫生杂志》,印刷版前。
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引用次数: 0
Trends in Nonfatal Overdose Rates Due to Alcohol and Prescription and Illegal Substances in Colombia, 2010-2021. 2010-2021 年哥伦比亚因酒精、处方药和非法药物导致的非致命用药过量率趋势。
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-12 DOI: 10.2105/ajph.2024.307786
Julian Santaella-Tenorio,Jhoan S Zapata-López,Thiago M Fidalgo,Vítor S Tardelli,Luis E Segura,Magdalena Cerda,Silvia S Martins
Objectives. To examine drug overdoses in Colombia by type of substance, sex, age, and intent using data from a health surveillance system from 2010 to 2021. Methods. We characterized data by year, type of substance, and sociodemographic variables. We calculated age-adjusted overdose rates by substance type, sex, age groups, and intent. We used Poisson regression models to examine trend differences across sex and age groups. Results. Age-adjusted rates of drug overdoses increased from 8.51 to 40.52 per 100 000 during 2010 to 2021. Men, compared with women, had higher overdose rates for every substance, except for opioids and psychotropics. Drug overdose rates involving cannabis and stimulants increased steadily until 2017 but decreased afterward. Overdose rates involving psychotropic medication increased greatly during 2018 to 2021, mainly because of intentional overdoses in young women. Conclusions. Overdoses involving illegal drugs decreased in recent years in Colombia; however, the continuous increase in intentional psychotropic overdose rates highlights the need for prevention efforts to curb this trend. Health surveillance systems are an important tool that can guide overdose prevention efforts in countries with limited data resources. (Am J Public Health. Published online ahead of print September 12, 2024:e1-e9. https://doi.org/10.2105/AJPH.2024.307786).
目的。利用卫生监督系统 2010 年至 2021 年的数据,按药物类型、性别、年龄和意图对哥伦比亚的吸毒过量情况进行研究。方法。我们按年份、药物类型和社会人口变量对数据进行了特征描述。我们按药物类型、性别、年龄组和意图计算了经年龄调整的用药过量率。我们使用泊松回归模型来检验不同性别和年龄组的趋势差异。结果如下在 2010 年至 2021 年期间,经年龄调整后的吸毒过量率从每 10 万人中 8.51 例上升至 40.52 例。与女性相比,除阿片类药物和精神药物外,男性吸食毒品过量率均高于女性。涉及大麻和兴奋剂的药物过量率在 2017 年前持续上升,但之后有所下降。2018 年至 2021 年期间,涉及精神药物的药物过量率大幅上升,主要原因是年轻女性故意用药过量。结论。近年来,哥伦比亚涉及非法药物的用药过量有所减少;然而,精神药物蓄意用药过量率的持续上升凸显了预防工作遏制这一趋势的必要性。在数据资源有限的国家,健康监测系统是指导药物过量预防工作的重要工具。(Am J Public Health.https://doi.org/10.2105/AJPH.2024.307786 )。
{"title":"Trends in Nonfatal Overdose Rates Due to Alcohol and Prescription and Illegal Substances in Colombia, 2010-2021.","authors":"Julian Santaella-Tenorio,Jhoan S Zapata-López,Thiago M Fidalgo,Vítor S Tardelli,Luis E Segura,Magdalena Cerda,Silvia S Martins","doi":"10.2105/ajph.2024.307786","DOIUrl":"https://doi.org/10.2105/ajph.2024.307786","url":null,"abstract":"Objectives. To examine drug overdoses in Colombia by type of substance, sex, age, and intent using data from a health surveillance system from 2010 to 2021. Methods. We characterized data by year, type of substance, and sociodemographic variables. We calculated age-adjusted overdose rates by substance type, sex, age groups, and intent. We used Poisson regression models to examine trend differences across sex and age groups. Results. Age-adjusted rates of drug overdoses increased from 8.51 to 40.52 per 100 000 during 2010 to 2021. Men, compared with women, had higher overdose rates for every substance, except for opioids and psychotropics. Drug overdose rates involving cannabis and stimulants increased steadily until 2017 but decreased afterward. Overdose rates involving psychotropic medication increased greatly during 2018 to 2021, mainly because of intentional overdoses in young women. Conclusions. Overdoses involving illegal drugs decreased in recent years in Colombia; however, the continuous increase in intentional psychotropic overdose rates highlights the need for prevention efforts to curb this trend. Health surveillance systems are an important tool that can guide overdose prevention efforts in countries with limited data resources. (Am J Public Health. Published online ahead of print September 12, 2024:e1-e9. https://doi.org/10.2105/AJPH.2024.307786).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":null,"pages":null},"PeriodicalIF":12.7,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142231328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mitigating Overdoses in Colombia 在哥伦比亚减少用药过量
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-12 DOI: 10.2105/ajph.2024.307851
Mauro Diaz-Moreno, Daniel Rojas
American Journal of Public Health, Ahead of Print.
美国公共卫生杂志》,印刷版前。
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引用次数: 0
Kratom Products Are Widely Available Throughout the United States. Kratom 产品在美国各地广泛销售。
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-05 DOI: 10.2105/AJPH.2024.307824
Matthew E Rossheim, Cassidy R LoParco, Kayla K Tillett, R Andrew Yockey, Hsien-Chang Lin, Carla J Berg
{"title":"Kratom Products Are Widely Available Throughout the United States.","authors":"Matthew E Rossheim, Cassidy R LoParco, Kayla K Tillett, R Andrew Yockey, Hsien-Chang Lin, Carla J Berg","doi":"10.2105/AJPH.2024.307824","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307824","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":null,"pages":null},"PeriodicalIF":9.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
American journal of public health
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